COALITION FOR NATIONAL TRAUMA RESEARCH

National Trauma Research Repository (NTRR) - The purposes of this project are to prepare to fully integrate legacy data from the National Trauma Research Repository (NTRR) into the FITBIR IS, clean and harmonize studies against established and new trauma common data elements (CDEs), integrate legacy data of high quality that will support secondary analysis, and establish a systems process for new submission and use of legacy data. In 2024, CNTR researched and analyzed data elements within four environments of care, and created and ran concurrent Delphi surveys during which groups of subject matter experts arrived at consensus on which common data elements to include in the NTRR. CNTR worked with NIH-CIT to update website text and functionality and go live mid-year. We also finalized policies and procedures for submission of and access to data, and communicated with investigators to facilitate upload of legacy data into the system.

PCORI VTE- The primary objective of the project is to help nurses and patients make informed decisions regarding VTE prevention and reduce the occurrence of blood clots in injured patients by 1) implementing a validated nurse education module, and patient-centered education tool at 9 trauma centers, 2) examining data on missed and refused doses of VTE prophylaxis and study the intervention's impact on VTE outcomes in trauma patients at high-risk for VTE events, 3) conducting a qualitative study to tailor the intervention to the different health care settings and computer systems so that it can be implemented nationally, and 4) conducting a Cost of Implementation analysis with input from all nine sites to inform the business case for adopting the intervention at trauma centers across the US by quantifying the implementation costs including staffing efforts (nurse training, bedside patient education interventions) and electronic health record (EHR) configuration in two major platforms (Epic and Cerner). Following training of more than 1,000 nurses and nurse peer coaching, a real-time missed dose alert was put into place at all sites, and the patient education program was activated. Nine sites collected trauma registry and missed dose data for trauma admissions from January 1, 2019-December 31, 2023. A CNTR webpage was continuously utilized as a repository for all study educational materials. Manuscripts were produced and submitted for publication.